| NPI | 1316216898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 202862) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 175866) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2024-04-05 |